Individual
ANDRE LEON MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 AIRPARK RD, ATWATER, CA 95301-9535
(209) 346-1469
Mailing address
PO BOX 774, ATWATER, CA 95301-0774
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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